Initial Instructions

First, show the patient how to clamp the feeding tube, remove the syringe’s bulb or plunger, and place the tip of the syringe into the feeding tube (as shown below). Then tell the patient to instill between 30 and 60 mL of water into the feeding tube to make sure it stays open and patent.

Next, tell the patient to pour the feeding solution into the syringe and begin the feeding (as shown). As the solution flows into the stomach, show the patient how to tilt the syringe to allow air bubbles to escape. Describe the discomfort that air bubbles may cause.

Tips for Free Flow

When about one-fourth of the feeding solution remains, direct the patient to refill the syringe. Caution the patient to avoid letting the syringe empty completely, because doing so may result in abdominal cramping and gas.

Show the patient how to increase and decrease the solution’s flow rate by raising or lowering the syringe. Explain that the patient may need to dilute a thick solution to promote free flow.

Finishing Up

Inform the patient that the feeding infusion process should take at least 15 minutes. If the process takes less than 15 minutes, dumping syndrome may result.

Show the patient the steps needed to finish the feeding, including how to flush the tube with water, clamp the tube, and clean the equipment for later use. If the patient is using disposable gear, urge the patient to discard it properly. Review instructions for storing unused feeding solution, as appropriate.